Douglas Peter Ead, FNP - C is a medicare enrolled "Nurse Practitioner - Family" in Prospect, Tennessee. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Amg-hillside Llc and his current practice location is
6498 Prospect Rd, Prospect, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 309-9460.
Douglas Peter Ead is licensed to practice in Tennessee (license number 25619) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629537410.
Provider's Profile
Full Name | Douglas Peter Ead |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 6498 Prospect Rd, Prospect, Tennessee |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Douglas Peter Ead graduated from nursing school in 2018
NPI Data:
- NPI Number: 1629537410
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 07/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486988805
- Enrollment ID: I20190618003842
Medical Identifiers
Medical identifiers for Douglas Peter Ead such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629537410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 25619 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Amg-hillside Llc | 9436240017 | 19 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas Peter Ead allows following entities to bill medicare on his behalf.
Entity Name | Amg-hillside Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710105499 PECOS PAC ID: 9436240017 Enrollment ID: O20070810000665 |
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Entity Name | Amg-crockett, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326550732 PECOS PAC ID: 4789770199 Enrollment ID: O20071017000313 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas Peter Ead is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Douglas Peter Ead, FNP - C 1605 S Locust Ave, Ste 101, Lawrenceburg, TN 38464-4053 Ph: (931) 762-4400 | Douglas Peter Ead, FNP - C 6498 Prospect Rd, Prospect, TN 38477-6384 Ph: (931) 309-9460 |
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